Regence Life and Health Insurance Company Dollar-Based Dental Plan Rates and Benefits

Oregon Health Insurance
Call 800.884.2343 or
541.434.9613
FAX - 541.284.2994

Individual Dental Insurance
Indivdual Dental insurance for individuals or families. Pay by credit card, or print your pre-filled application and mail it in with your check. To begin, please enter your zip code and click on the Get More Info button.	Quote or Apply Online
	Zip Code:

Premium Rates
	Monthly Premium Per Member		Quarterly Premium Per Member
	Dental Only	Dental & Vision	Dental Only	Dental & Vision
Under Age 18	$24.66	$27.27	$73.98	$81.81
18 through 64	$44.99	$49.61	$134.97	$148.83
65 and over	$56.98	$62.89	$170.94	$188.67
You may enroll for Dentoal Only Coverage or Dental with Vision Coverage. All members must be enrolled for the same coverage and preimum payment schedule

Individual Dollar-Based Dental Benefits			$1,500 Annual Max
		$1,250 Annual Max
	$1,000 Annual Max
$750 Annual Max	$1,000 Annual Max
Year 1	Year 2	Year 3	Year 4
Plan pays: 100% of the first $150 of care 80% of the next $500 of care 50% of the remaining care until annual benefit maximum is reached

Dollar Based Benefits	Percent covered	Benefit payment
Year 1
$0-$150*	100%	$150
$151-$650	80%	$400
$651-$1050	50%	$200
Maximum Policy Year Benefit		$750
Year 2
$0-$150	100%	$150
$151-$650	80%	$400
$650-$1550	50%	$450
Maximum Policy Year Benefit		$1,000
Year 3
$0-$150*	100%	$150
$151-$650	80%	$400
$651-$2050	50%	$700
Maximum Policy Year Benefit		$1,250
Year 4+
$0-$150*	100%	$150
$151-$650	80%	$400
$651-$2550	50%	$950
Maximum Policy Year Benefit		$1,500
Incentive: You control your benefit increase by receiving at least one cleaning and exam during the benefit year. No deductibles No limitations or exclusions for covered services, except orthodontia, theeth bleaching and veneers Six month waiting period Optional Vision Rider available: $150 in services and/or hardware every 24 months